Gene Polks Pharmacy
LBN: Gene Polks Inc
Gene Polks Pharmacy is an health care organization with primary practice located at 406 Simpson Highway 149 , Magee MS 39111-3416. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Gene Polks Inc can be contacted via phone (601) 849-2532, or through Polk, Brinson via phone (601) 849-2533.
Contact Information
Primary practice address
406 Simpson Highway 149
Magee MS 39111-3416
Phone: (601) 849-2532
Fax: (601) 849-2558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 00445/1.1 | Mississippi |
Profile Details
| NPI number | 1912918558 |
|---|---|
| LBN Legal business name | Gene Polks Inc |
| DBA Doing business as | Gene Polks Pharmacy |
| Authorized official | Polk, Brinson RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Dec 1st, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912918558 | NPPES |
| Mississippi | MEDICAID | 0033740 | |
| Mississippi | Other | 2043293 |
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